A pediatric rehabilitation experience for undergraduate nursing students.

Pediatric rehabilitation is a specialty that will need more nurses in the future. A clinical rotation in this specialty was incorporated into the pediatric experience of junior-year baccalaureate nursing students at the University of Maryland School of Nursing. The experience helped students to learn more about the nursing care involved in pediatric rehabilitation, to appreciate the different disciplines within the specialty, and to view pediatric nursing from a holistic long-range perspective. The experience also strengthened ties between nursing education and practice.     

儿科护理学教学中培养护生护理健康教育能力的研究

随着医学模式向生物-心理-社会医学模式的转变，护理专业的指导思想也正在从“以疾病为中心”向“以人的健康为中心”转变。21世纪“自我护理”已成为一个发展趋势，护理健康教育作为现代临床整体护理的重要组成部分正在全国推行。目前对健康教育的研究表现在需求、内容、方法及形式等方面。临床整体护理工作中护理健康教育还存在一些不足，特别是中职护生缺乏有关护理健康教育知识和能力。护士是护理健康教育的计划者与教育者。为使专科护理工作适应护理模式的转变，为使中职护生适应现代整体护理工作的需要，提高整体护理质量，我科护理人员在本学校中专护生的儿科护理学教学中进行培养护生护理健康教育能力的研究。现介绍如下。     

Nursing academic incivility awareness among ADN nursing students

As the cultural dynamics within our world are rapidly changing, the need to maintain a sense of civility is essential. Academic incivility is occurring at an alarming rate in higher education and is undermining nursing education and practice. The purpose of this research project was to identify if nursing students perceived awareness of uncivil behaviors was altered after attending an educational session on incivility. A quantitative, quasi-experimental, pre post study was conducted with nursing students in the third semester of an Associate Degree Nursing program. Although the paired t-test did not find statistical significance, awareness of the problem became evident. Nineteen student nurses from a small community college in the Midwest participated in this study. Continued research is warranted to identify approaches to increase awareness of incivility and in minimizing these behaviors for the future of our nursing profession.     

Ambulance rides as valuable clinical experiences for community health nursing students

Use of ambulance rides has been a very valuable learning experience for baccalaureate nursing students. It has given them an unusual opportunity to incorporate much of the knowledge they have gained from their nursing courses to plan and assist in the delivery of care for a variety of individuals and families. Because a call could involve virtually anything, it offers a unique combination of all aspects of nursing care including medical-surgical, pediatrics, obstetrics, and psychiatric nursing, as well as community health nursing.     

Utilizing a community data base system with community health nursing students

The instrument to "go out and study the community" can be awesome and confusing to both students and nurses. The use of the data base management system as described in this paper makes the task a less formidable one. It also systematically classifies data about a community into a usable form so that nursing diagnoses can be identified appropriately. We strongly believe that the concept of community-as-client must become a part of the philosophy of every community health nurse. We see the data base management system as one method of incorporating this philosophy.     

Developing an evening clinical experience for baccalaureate community health nursing students

With the ever-changing directions in health care delivery, baccalaureate nursing instructors are being challenged with the task of seeking out innovative approaches to community health nursing clinical experiences. With the focus on "community as client," an evening clinical program was designed and piloted for nontraditional nursing students who, because of daytime employment, were in need of evening courses to further their nursing education. The pilot project incorporated family nursing care, community-centered practice, and observational experiences. The evening community health nursing clinical experience was found to be mutually beneficial to clients and students and served to fill a gap in health teaching within the community.     

A global health analysis project for baccalaureate nursing students.

This article describes an international nursing/global health analysis project that is completed in the U.S. classroom by baccalaureate nursing students. Project requirements, student activities, and course evaluation are described. Over a semester, student groups in the senior-level issues course use multiple resources (libraries, embassies, Internet, and personal contacts) to gather and analyze nursing and health care data on a self-selected International Council of Nursing (ICN) member country. At the end of the semester, student's synthesized materials are presented to classmates. A portfolio of materials is submitted and kept on file for multiple uses by faculty and students.     

Outcomes for community health nursing practice.

OBJECTIVE: The purpose of this study was to develop an easy, practical list of outcomes amenable to community health nursing interventions. This study sought to answer the following question: What outcomes are sensitive to nursing interventions in the community health setting? SUMMARY BACKGROUND DATA: Nursing literature discusses many client outcomes. However, available outcome lists are not always sensitive to nursing interventions by community health nurses. Nurses need a precise list to measure client outcomes resulting from contact between nurses and clients in a variety of community health settings. METHODS AND SUBJECTS: The study used a modified Delphi technique to ensure adequate response from the subjects. Initially, focus groups generated items for the Delphi questionnaires. Using items from the focus groups, the researchers developed three rounds of questionnaires. In each round, nurses stated a level of agreement with each item as an outcome for community health nurses. Twenty-two community health nurses in one Southeastern state participated in four focus groups. One hundred fifty-two community health nurses returned round 1 questionnaires, 68 nurses returned round 2 questionnaires, and 48 nurses returned round 3 questionnaires. RESULTS: The researchers grouped the outcomes into four domains: client's psychosocial components of care, client's physiologic components of care, nursing intervention/implementation components of care, and environmental/community safety components of care. CONCLUSIONS: The findings produced an easy, practical list of 48 nursing outcomes for use in decision making and research by community health nurses in all settings.     

Collaborative learning among undergraduate students in community health nursing

Teamwork can benefit students, enhancing their ability to think critically, solve problems creatively, and collaborate effectively. We piloted a collaborative learning project with undergraduate community health nursing students (N = 83) that entailed working in teams to explore epidemiologic data, synthesize the literature, and develop an evidence-based plan for nursing intervention and evaluation pertaining to a public health issue. Project evaluation consisted of pre- and post-project surveys by students, peer evaluation, and formative and summative evaluation by faculty. Having students work in teams, while challenging both for faculty and students, may be a viable strategy for preparing the next generation of nurses for inter- and intraprofessional collaboration. Our experience suggests that instituting a collaborative learning experience as part of an undergraduate course in community health nursing can be an effective way to expose students to constructive approaches to teamwork and prepare them for evidence-based nursing practice in the future.     

A risk assessment and management strategy for community nursing

Many nursing interventions carry risks of harm to the patient, the nurse or the general public, and the potential for subsequent litigation or censure. This article proposes a six-point risk management strategy, which, if implemented, could reduce the chance of potential harm and litigation within a community nursing service. The strategy encompasses organizational, cultural, clinical, employee, environmental, and incident-reporting issues. A policy statement is proposed from which a risk management strategy could be developed. This is underpinned by the acceptance and ownership of risk management by all managers and clinicians, which is best achieved through a culture of honesty and openness, and where the management of risk is considered one of the fundamental duties of every member of staff. The strategy aims to enable the creation of a more coordinated, systematic and focused approach to the management of risks.     

A community health service-learning roundtable: nursing education partnership for community health improvement

This article describes the formation of a campus-community partnership that focused its efforts on a single vulnerable community within an urban setting. Challenges that were faced and how those challenges were engaged to maintain a viable serving and learning presence within the community are discussed. Previous insights from similar articles are reinforced, and new insights for future work are highlighted. This article and similar articles are creating a body of knowledge about the practical aspects of creating and maintaining partnerships, which can provide guidance for those who wish to duplicate partnerships in other situations and also contribute to data sets of experiences from which theories on this kind of human relating can be formed, challenged, or validated.